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Updated: Jan 10, 2026
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Improving IV Insulin Administration in a Community Hospital
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Integrating Continuous Dual Glucose-Ketone Monitoring into Clinical Practice
Eden Miller1, Kevin Miller1, Richard M Bergenstal2
1Diabetes and Obesity Care LLC, Bend, Oregon, USA.
Diabetes Technology & Therapeutics
|November 21, 2025
Summary
Diabetic ketoacidosis (DKA) is a serious diabetes emergency. Continuous dual glucose-ketone monitoring may help patients and clinicians prevent severe DKA by enabling early detection and intervention.
Area of Science:
- Endocrinology
- Diabetes Management
- Medical Technology
Background:
- Diabetic ketoacidosis (DKA) is a critical diabetes complication.
- Euglycemic DKA (euDKA) is increasing, particularly with sodium-glucose transporter 2 inhibitor use.
- Current ketone monitoring methods have limitations.
Purpose of the Study:
- To discuss the role of continuous dual glucose-ketone monitoring in preventing DKA.
- To explore the integration of this technology into primary care.
Main Methods:
- Review of current DKA and euDKA presentation and management.
- Discussion of limitations in existing ketone monitoring.
- Introduction of a novel continuous dual glucose-ketone monitoring system.
Main Results:
- Continuous dual monitoring offers potential for early DKA/euDKA detection.
- This technology could empower patients and clinicians in prevention strategies.
- Integration into primary care may improve patient outcomes.
Conclusions:
- Continuous dual glucose-ketone monitoring presents a promising advancement.
- Early detection and intervention are key to preventing severe DKA.
- Primary care integration is crucial for widespread adoption and improved diabetes care.
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